NPIMap

Organization Active NPI

North Star Counseling of Central Florida, LLC.

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1497151369
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12912 Issued in FL
Legal business name
NORTH STAR COUNSELING OF CENTRAL FLORIDA, LLC.
Practice address
2980 Park Pond Way
Kissimmee, FL 34741-7660
Phone
(407) 930-4711
Fax
(866) 255-1576
NPI assigned
Nov 5, 2014
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wilson Giovanni Villanueva, M.A. ED.S. LMHCNPI 1629201330
Title
Clinical Director
Phone
(407) 930-4711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH12912 FL Primary

Addresses

Primary practice location

2980 Park Pond Way
Kissimmee, FL 34741-7660

Mailing address

107 E Monument Ave
Kissimmee, FL 34741-5761
Phone (407) 930-4711

National Provider Directory

National Provider Directory

Locations

107 E Monument Ave
Kissimmee, FL 34741
Phone (407) 930-4711

2980 Park Pond Way
Kissimmee, FL 34741
Phone (407) 930-4711

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1497151369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MONUMENT AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415761",
            "telephone_number": "407-930-4711",
            "fax_number": "866-255-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 PARK POND WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417660",
            "telephone_number": "407-930-4711",
            "fax_number": "866-255-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR COUNSELING OF CENTRAL FLORIDA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "GIOVANNI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-930-4711",
        "authorized_official_credential": "M.A. ED.S. LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.